Saroja Koneswaran, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

17012 Issued in CT

Practice address

21 Huntington Plaza
Shelton, CT 06484-5211

Phone

(203) 929-6358

Fax

(203) 929-3826

NPI assigned

Feb 8, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144361841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 HUNTINGTON PLAZA",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064845211",
            "telephone_number": "203-929-6358",
            "fax_number": "203-929-3826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 HUNTINGTON PLAZA",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064845211",
            "telephone_number": "203-929-6358",
            "fax_number": "203-929-3826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONESWARAN",
        "first_name": "SAROJA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "17012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerry Knop, PT
• Jacen Knowlton, CRNA
• Christina Komninakas, ST
• Ignatius Komninakas, M.D.
• Murugesapillai Koneswaran, MD
• Janice Ann Kozlowski, LMFT
• Krishnani Corporation (Medicine Shoppe)
• Samantha Krupa, DPT
• Jean Kulas, APRN
• Yogesh Kumar, M.D.

• Family Medicine Physician in Shelton, CT
• Providers in Shelton, CT by specialty
• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.